Abstract:
:A new protocol for the selected omission of transsyndesmotic fixation in Weber class C ankle fractures was prospectively evaluated in 21 consecutive patients. As proposed in a previous cadaveric study (J. Bone Joint Surg., 71A:1548-1555, 1989), the protocol suggested that transsyndesmotic fixation was not required if (1) rigid bimalleolar fracture fixation was achieved or (2) lateral without medial fixation was obtained (i.e., with accompanying deltoid tears) if the fibular fracture was within 4.5 cm of the joint. According to this protocol, only 3 of 21 patients (14%) required transsyndesmotic fixation. Ten of the patients who did not receive transsyndesmotic fixation underwent pronation-external rotation stress radiographs in a fashion analogous to the previous cadaveric study. At 1- to 3-year follow-up, no stress (N = 10) or static view (N = 18) widening of the mortise or syndesmosis was seen in any patient, which supports (with the above guidelines) a limited, rather than routine, use of supplemental transsyndesmotic fixation. Clinical results from this prospective study seem to substantiate previously proposed biomechanical guidelines for the selected omission of transsyndesmotic fixation. Given these guidelines, transsyndesmotic fixation was unnecessary in many cases and the need can be determined before surgery by assessing the integrity of the deltoid ligament and level of the fibular fracture.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Yamaguchi K,Martin CH,Boden SD,Labropoulos PAdoi
10.1177/107110079401500801subject
Has Abstractpub_date
1994-08-01 00:00:00pages
407-14issue
8eissn
1071-1007issn
1944-7876journal_volume
15pub_type
临床试验,杂志文章abstract::Three-phase bone scintigraphy diagnosis of Lisfranc injury in a patient after foot trauma is discussed. Early diagnosis of Lisfranc joint injury is frequently missed and radionuclide bone scintigraphy may show a specific pattern where the x-rays are inconclusive. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601107
更新日期:1995-11-01 00:00:00
abstract::Thirteen patients presenting with symptomatic pathologic variations or congenital deformities of the subtalar joint are presented. These variations included: four abnormal posterior talar processes, five patients with asymmetric subtalar joint development, and four congenital complete subtalar coalitions with a second...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800803
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:The nature of the sesamoid complex in the development of hallux rigidus or limitus (HL) has been poorly characterized and the role of the sesamoids in the surgical management of this condition has not been explored. Previous surgical approaches in younger active patients unsuited to destructive procedures ha...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0640
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Repeated elevation of intramuscular pressure (IMP) causes skeletal-muscles damage. The purpose of this paper was to investigate the regenerative effect of satellite cells autografted to the damaged muscle in a rabbit model. MATERIALS AND METHODS:Twenty-four adult rabbits were randomized into three groups: 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0706
更新日期:2010-08-01 00:00:00
abstract::A custom, patellar-tendon bearing (PTB), patten-bottom, caliper suspension orthosis was constructed for six patients with severe, active (Eichenholtz stage I) Charcot arthropathy of the ankle and hindfoot. With the orthosis, the suspended foot and ankle remained completely non-weight-bearing, and the lower extremity s...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300408
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Posterior tibial tendon dysfunction (PTTD) is a common malady leading to acquired flatfoot, which frequently causes foot and ankle pain and swelling. We hypothesized that patients with PTTD and pitting edema along the course of the posterior tibial tendon (PTT) would have evidence of fluid within the tendon ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0189
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Correction of hallux valgus deformity with distal chevron osteotomy is limited by the amount of lateral translation achieved. Since 1999, the senior author has performed a modified technique referred to as increased displacement distal chevron osteotomy in which the distal fragment is translated laterally as...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0155
更新日期:2008-02-01 00:00:00
abstract::We studied the validity and reliability of the Foot and Ankle Outcome Score (FAOS) when used to evaluate the outcome of 213 patients (mean age 40 years, 85 females) who underwent anatomical reconstruction of the lateral ankle ligaments with an average postoperative follow-up of 12 years (range, three to 24 years). The...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102201004
更新日期:2001-10-01 00:00:00
abstract::Morbus Ledderhose is a rare hyperproliferative disease of the plantar fascia, leading to the formation of nodules. Its origin is unknown. No causal therapy is available, and treatment remains symptomatic. Various therapeutic strategies to alleviate symptoms are available and are adapted to the severity of the disease....
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100713505535
更新日期:2013-12-01 00:00:00
abstract::All patients with cerebral palsy who had hallux valgus and bunion deformities surgically corrected between 1986 and 1995 were reviewed to determine whether techniques other than arthrodesis of the first metatarsophalangeal joint would adequately correct these deformities. Twenty-six feet of 17 patients were surgically...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801901207
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND:Talonavicular fusion is performed for a variety of indications. This study examined the effects of fixation techniques on plantar pressures, construct stiffness, and strength. MATERIALS AND METHODS:Eight matched pairs of cadaveric lower extremities were axially loaded intact and after talonavicular fixation...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI-2009-0150
更新日期:2009-02-01 00:00:00
abstract::The results following revision tarsal tunnel release in 12 patients (13 feet), including three men and nine women aged 28 to 66 years, are presented. The indication for surgery was incapacitating focal pain, associated with paresthesias and hyperesthesias, refractory to nonoperative treatment modalities. Electrodiagno...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500703
更新日期:1994-07-01 00:00:00
abstract::The purpose of this study is to report our experience with the Vacuum Assisted Closure (VAC) negative pressure technique in patients with non-healing wounds of the foot, ankle, and lower limb. We retrospectively reviewed 17 patients with non-healing wounds of the lower extremity who underwent treatment using the Vacuu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202301002
更新日期:2002-10-01 00:00:00
abstract::We hypothesized that the posterior-to-anterior (PA) calcaneal interlocking screw of the Biomet Ankle Arthrodesis Nail would increase rotational stability secondary to increased bone purchase compared with the standard lateral-to-medial (transverse) screw. Each of 10 fresh human cadaver lower limbs (five matched pairs)...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200908
更新日期:2001-09-01 00:00:00
abstract::The purpose of the study was to investigate effects of adhesive ankle taping. Using electromyographic, goniometric, and thermologic methods, different ankle tapes were tested before and after athletic exercise in simulated inversion trauma. Twelve subjects with stable ankle joints performed five trials: with two diffe...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110079902000406
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:In Charcot-Marie-Tooth (CMT) disease, selective weakness of the tibialis anterior muscle often leads to recruitment of the long toe extensors as secondary dorsiflexors, with subsequent clawing of the toes. Extensor hallucis longus (EHL) and extensor digitorum longus (EDL) tendon transfers offer the ability t...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719901119
更新日期:2020-04-01 00:00:00
abstract::Contemporary methods of bone grafting osteochondral defects, in which the remaining overlying cartilage is relatively well preserved, have inherent problems. The bony defects are often saucer-shaped and the cylindrical graft may not fill the void, leaving areas of cartilage with no underlying scaffold and obviating ea...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0616
更新日期:2008-06-01 00:00:00
abstract::Angioleiomyomas are relatively rare, benign, vascular soft tissue tumors with a predilection for the lower extremity. They may occur in either the cutaneous or subcutaneous tissue and are usually well encapsulated. Erosion of adjacent bone due to secondary compression phenomenon has rarely been reported in the literat...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200810
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Ankle sprains are the most common injury among physically active people, with common sequelae including repeated episodes of giving way, termed functional ankle instability. Copers are a cohort in ankle research comprised of those who have sprained their ankle but have not suffered any further dysfunction. T...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713491076
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Standard treatment of plantar first metatarsal head neuropathic ulceration with underlying osteomyelitis consists of extensive debridement of infected soft tissues and bone and often first ray amputation. The purpose of this study was to present a previously unreported, one stage, alternative to first ray am...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0973
更新日期:2010-11-01 00:00:00
abstract::26 patients with 28 pes planovalgus feet secondary to Johnson stage 2 posterior tibial tendon insufficiency were treated with flexor digitorum longus tendon transfer, lateral column lengthening, medial displacement calcaneal osteotomy, and heel cord lengthening. The mean patient age at surgery was 48.5 years. The AOFA...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200403
更新日期:2001-04-01 00:00:00
abstract:RECOMMENDATION:Debridement, antibiotics, and implant retention (DAIR) with polyethylene exchange may be indicated in early postoperative infection (<4 weeks) or acute hematogenous infection (<4 weeks of symptoms) in patients with infected total ankle arthroplasty (TAA), although recurrent infection has been seen. Suffc...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719861099
更新日期:2019-07-01 00:00:00
abstract::The "anchovy" interpositional arthroplasty technique can be used as a salvage option for failed hallux rigidus procedures. The operative technique utilized by the senior author is described. Careful soft-tissue handling, meticulous joint space and graft preparation, and interposition graft stabilization using a bone t...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100718807738
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The first metatarsal bone can shorten after a distal chevron metatarsal osteotomy (DCMO). This shortening can result in a postoperative second metatarsal transfer lesion. The aim of the present study was to investigate the occurrence of second metatarsal transfer lesions after DCMO. METHODS:This study invol...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715627350
更新日期:2016-06-01 00:00:00
abstract::We report a very rare case of anterior dislocation of the subtalar joint. Forceful supination of the foot and dorsiflexion of the ankle was considered the cause of the injury in this case. Closed reduction was successful for the talocalcaneal component of subtalar joint, although surgery was subsequently performed bec...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200715
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:This prospective study evaluated the results of arthroscopic subtalar arthrodesis for painful hindfoot osteoarthritis. METHODS:The hypotheses were that (1) the arthroscopic technique results in a reliable fusion rate, (2) the clinical outcome is better than the open procedure and (3) complication rates are ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0001
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Subchondral cysts are a type of osteochondral defect of the talus and can be a source of chronic ankle pain. The treatment modality of this cystic lesion is similar to that of other osteochondral defects, but results from previous reports are controversial. Therefore, we compared the clinical results and rad...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701218
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Static footprints have been widely used clinically. However, since this measure provides only indirect information about the medial longitudinal arch height, it is not clear if it can be indicative of dynamic foot function especially in obese children. This study aimed to verify whether static footprints can...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.1141
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Understanding the plantar nerve anatomy is crucial for safe endoscopic surgery of the sole. We aimed to anatomically dissect the lateral aspect and soles of cadaveric feet to investigate the safety of peroneus longus tendoscopy with a plantar lateral portal and the safe zones for plantar portals. METHODS:We...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715607964
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Medial ankle joint pain with localized cartilage degeneration due to medial joint overload in varus malalignment of the hindfoot lends itself to treatment by lateral closing wedge supramalleolar osteotomy. METHODS:From 1998 to 2003, nine patients between the ages of 21 to 59 years were operated. The etiolog...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0542
更新日期:2007-05-01 00:00:00